Facial depression correction by using free anterolateral thigh adipofascial flap and human acellular dermal matrix
10.3760/cma.j.issn.1671-0290.2022.01.006
- VernacularTitle:游离股前外侧筋膜脂肪瓣联合人脱细胞异体真皮重塑半侧颜面萎缩畸形
- Author:
Mingzi ZHANG
1
;
Zhijin LI
;
Hairui LI
;
Zikai QIU
;
Zhifei LIU
;
Yang WANG
;
Loubin SI
;
Ang ZENG
Author Information
1. 中国医学科学院北京协和医学院北京协和医院整形美容外科，北京 100730
- Keywords:
Facial hemiatrophy;
Reconstructive surgical procedures;
Vascularized composite transplantation;
Anterolateral thigh adipofascial flap;
Human acellular der
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(1):22-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of facial depression correction by using free anterolateral thigh adipofascial flap and human acellular dermal matrix.Methods:Nineteen facial depression patients (3 males and 16 females), age ranges from 16 to 56 years (average age: 29.1±10.37 years), caused by different reasons were selected in this research from Jan. 2008 to Dec. 2020. In the stage I operation, anterolateral thigh adipofascial flap was designed according to facial depression area and harvested to fill in the depression with vascular anastomosis; In the stage II operation, the human acellular dermal matrix was used to fill in the remained depression edge according to facial subunit.Results:All free anterolateral thigh adipofascial flap survived well. All patients revealed fascial subunit tissue atrophy of different degree in infraorbital, nasolabial sulcus and temporal areas which were repaired by using cellular dermal matrix and obtained satisfying effect during 1 to 8 years of follow-up with no obvious rejection. 18 of 19 patients showed flap hypertrophy and corrected by liposuction. All patients recovered well after 1 to 8 years of follow-up.Conclusions:Humana cellular dermal matrix could make up the limitations of treating fascial depression deformity when using anterolateral thigh adipofascial flap. The combination method of above approaches could obtain satisfying clinical effect, which is worthy of clinical promotion.
